THEODORE J FALLON JR
Controlled Substance Registration for Practitioner


Address: 2162 Miller Rd, Chester Springs, PA 19425

THEODORE J FALLON JR (Credential# 160513) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is September 19, 1995. The license expiration date date is February 28, 1997. The license status is INACTIVE.

Business Overview

THEODORE J FALLON JR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0017538. The credential type is controlled substance registration for practitioner. The effective date is September 19, 1995. The expiration date is February 28, 1997. The business address is 2162 Miller Rd, Chester Springs, PA 19425. The current status is inactive.

Basic Information

Licensee Name THEODORE J FALLON JR
Credential ID 160513
Credential Number CSP.0017538
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 2162 Miller Rd
Chester Springs
PA 19425
Business Type INDIVIDUAL
Status INACTIVE
Effective Date 1995-09-19
Expiration Date 1997-02-28
Refresh Date 2005-12-15

Other licenses

ID Credential Code Credential Type Issue Term Status
548290 1.030184 Physician/Surgeon 1989-07-28 1995-09-14 - 1996-11-30 INACTIVE

Office Location

Street Address 2162 MILLER RD
City CHESTER SPRINGS
State PA
Zip Code 19425

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Saroj Kalgaonkar 832 Mount Rose Road, Chester Springs, PA 19425 Tax Preparer/facilitator Permit 2020-03-11 ~ 2022-03-31
Eric S Chapman 1511 Yellow Springs Rd., Chester Springs, PA 19425 Professional Engineer 2020-02-01 ~ 2021-01-31
John E Nash 1201 N Chester Springs Road, Chester Springs, PA 19425 Professional Engineer 2018-02-01 ~ 2019-01-31
Karyn Kim 760 Drovers Lane, Chester Springs, PA 19425 Advanced Practice Registered Nurse 2018-05-01 ~ 2019-04-30
Bala Cnslt Engrs Inc 7 Fox Run Rd, Chester Springs, PA 19425 Professional Engineer 1995-01-05 ~ 1996-01-31
Caroline L Delbecq Maguire 1225 Green Lane, Chester Springs, PA 19425 Physical Therapist 2010-11-01 ~ 2011-10-31
Bradley Earl 1423 Dogwood Lane, Chester Springs, PA 19425 Architect 2008-08-01 ~ 2009-07-31
Patricia S Agius 2849 Tansey Ln, Chester Springs, PA 19425 Registered Nurse 2008-05-01 ~ 2009-04-30
Sarah A Niemiec 405 Hemlock Lane, Chester Springs, PA 19425 Registered Nurse 2007-09-17 ~ 2008-06-30
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Competitor

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City CHESTER SPRINGS
Zip Code 19425
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + CHESTER SPRINGS

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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